Medical Billing

Job Description

Key Responsibilities:
Claim Processing and Submission:
Accurately and timely submit medical claims to insurance companies and other payers.
Ensure claims are complete and accurate, following established coding and billing guidelines.
Track claim status and follow up on unpaid or denied claims.
Prepare and submit appeals for denied claims.
Insurance Verification and Authorization:
Verify patient insurance coverage and eligibility.
Obtain necessary authorizations for medical procedures and services.
Patient Billing and Collections:
Prepare and send patient statements and invoices.
Communicate with patients regarding outstanding balances and payment arrangements.
Process patient payments and update patient accounts.
Billing Inquiries and Resolution:
Respond to patient and insurance company inquiries regarding billing and claims.
Resolve billing discrepancies and errors.
Revenue Cycle Management:
Contribute to the overall efficiency of the revenue cycle by ensuring accurate and timely billing and collections.
Identify and address potential revenue cycle issues.
Compliance and Regulatory Compliance:
Adhere to HIPAA regulations and other relevant healthcare regulations.
Stay up-to-date on changes in medical billing regulations and coding guidelines.
Other Duties:
Maintain accurate and up-to-date patient and billing records.
Work closely with other healthcare professionals, such as medical coders and healthcare providers, to ensure accurate billing practices.
Utilize billing software and electronic health record (EHR) systems.
May also be involved in tasks such as data entry, filing, and answering phones.

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